Directorate of Urban Local Bodies
MARRIAGE REGISTRATION - APPLICATION FORM
[Note: Fields marked * are mandatory]
Case Details  Case Date:  24/07/2017
*Date of Marriage
*District
*Urban / Rural:
*Place Of Registration
Applicant Details
*Applicant Name *Applicant Father Name *Applicant Address
*Mobile No: +91 Email Id:
Groom Details
Groom Aadhaar Id:
GROOM PHOTO

(GIF or JPG, Max. 50 KB only)
BRIDE PHOTO

(GIF or JPG, Max. 50 KB only)
COUPLE PHOTO
(GIF or JPG, Max. 50 KB only)
GROOM's PARENTS  PHOTO

(GIF or JPG, Max. 50 KB only)
BRIDE's PARENTS  PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 1 PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 2 PHOTO

(GIF or JPG, Max. 50 KB only)
WITNESS 3 PHOTO

(GIF or JPG, Max. 50 KB only)
*Groom Name *Date Of Birth
*Groom Father Name *Groom Mother Name
*Groom's Martial Status (Before this marriage) *Groom Religion
*Groom Nationality *Country   
 
Groom Occupation *Permanent Address
*Correspondence Address  
Residing at current Dwelling address since:
 
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
Bride Details
Bride Aadhaar Id:
*Bride Name *Date Of Birth
*Bride Father Name *Bride Mother Name
*Bride's Martial Status(Before this marriage) *Bride Religion
*Bride Nationality *Country   
 
Bride Occupation *Permanent Address   
*Correspondence Address  
Residing at current Dwelling address since:
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
Marriage Venue Details:
*Country   
 
*MarriageVenueAddress:
*State:
*District:
*Tehsil:
*Rural/Urban:
*:
 
 Witness Details:  
*Witness1 Name: *Address:
*Witness2 Name: *Address:
Witness3 Name: Address:
Payments
 
Documents Attached
Mode of Payment:  Treasury Challan Treasury Challan Head:  (Other Receipts-0070-60-108-51-51)  
*Challan No.:

Click here to Generate Challan
*Challan Date:(dd/mm/yyyy)
Attach File for Groom: 
(Only pdf and max size 1024 KB only)
Attach File for Bride: 
(Only pdf and max size 1024 KB only)
 
  
 
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